NPIMap

Organization Active NPI

St. Giles Living Centers, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
National Provider Identifier
1194893180
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
001007212 Issued in TX
Legal business name
ST. GILES LIVING CENTERS, INC.
Practice address
4150 International PLZ Ste 820
Fort Worth, TX 76109-4836
Phone
(800) 299-5161
Fax
(817) 447-3033
NPI assigned
Nov 30, 2006
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandi Turner
Title
Licensing Coordinator
Phone
(682) 707-2756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 001007212 TX Primary

Addresses

Primary practice location

4150 International PLZ Ste 820
Fort Worth, TX 76109-4836

Mailing address

4150 International PLZ Ste 820
Fort Worth, TX 76109-4836
Phone (800) 299-5161

Other identifiers 6

IdentifierTypeStateIssuer
001007212MedicaidTX
000753401MedicaidTX
001010231MedicaidTX
001007316MedicaidTX
000740601MedicaidTX
000752201MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
St Giles Living Centers Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3007 S Medford Dr
Lufkin, TX 75901

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1194893180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094836",
            "telephone_number": "800-299-5161",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094836",
            "telephone_number": "800-299-5161",
            "fax_number": "817-447-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GILES LIVING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "682-707-2756"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001007212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007212",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000753401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010231",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007316",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000740601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.